Healthcare Provider Details

I. General information

NPI: 1285186049
Provider Name (Legal Business Name): ARTHRITIS AND RHEUMATOLOGY CENTER OF MI PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2016
Last Update Date: 12/12/2024
Certification Date: 12/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 BARCLAY CIR STE 100
ROCHESTER HILLS MI
48307-4599
US

IV. Provider business mailing address

135 BARCLAY CIR STE 100
ROCHESTER HILLS MI
48307-4599
US

V. Phone/Fax

Practice location:
  • Phone: 248-852-2277
  • Fax: 248-659-1655
Mailing address:
  • Phone: 248-852-2277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number5101102450
License Number StateMI

VIII. Authorized Official

Name: SRIJANA PRADHAN BAKSHI
Title or Position: PRESIDENT
Credential: MD
Phone: 248-686-8426